Adrenal extramedullary hematopoiesis: An unusual incidentaloma
Extramedullary hematopoiesis is more commonly seen involving liver, spleen, lymph nodes and paravertebral regions. Involvement of adrenal has been reported in 12 cases in the literature. Here we report a case of isolated adrenal extramedullary hematopoiesis in a 24 yr lady who presented with pallor, weakness and hepatosplenomegaly.Abdominal CT scan (NCCT, post contrast and Delayed CT scans) revealed a homogeneously enhancing right adrenal SOL with central curvilinear calcification, having absolute percentage washout (APW) of 67.66% and relative percentage washout (RPW) of 45.30% suggestive of benign adrenal mass. Later she was diagnosed to have Hb E/beta thalassemia and put on hydroxyurea trial.